| NPI | 1780627604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 39343) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 039343) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-12-16 |